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Generate impression based on findings. | Female, 26 years old. Reason: Mild splenomegaly noted on CT. Please measure spleen. History: none LIVER: The liver measures 15.5 cm, with homogeneous echotexture.SPLEEN: 10.6 cm in length, without focal lesion.OTHER: No significant abnormalities noted. | Normal sized spleen. |
Generate impression based on findings. | Male 21 years old; old injury to chest in 2013. s/p wrestling over sternum No acute fracture or malalignment of the ribs. The lungs are clear. The pleural spaces that are imaged are clear.Provided views are suboptimal to evaluate the sternum. | No rib fracture. |
Generate impression based on findings. | Male 59 years old Reason: L shoulder pain History: see above The left glenohumeral joint is congruent. No acute fracture or malalignment.The bones appear demineralized.There is mild joint space narrowing | No acute fracture or malalignment. |
Generate impression based on findings. | Female 50 years old Reason: 50 y/o with chronic pain R hip. Please compare with prior X-rays History: R hip pain Bone mineralization is normal. Alignment is anatomic. Enthesopathic changes are noted in the lesser trochanter.Mild osteoarthritis affects the right hip.No acute fracture or malalignment. | Mild right hip osteoarthritis |
Generate impression based on findings. | Male 46 years old Reason: stress fracture or bony growth causing L knee pain at insertion of quad History: anterior superior knee pain Bone mineralization is normal. Alignment is anatomic. The joint spaces are appropriate for age.The distal quadriceps tendon is indistinct near its attachment on the patella. Probable tr... | Indistinct distal quadriceps tendon possibly representing tendinosis or partial thickness tearing. Patellar alignment is normal indicating the quadriceps is likely intact. If pain persists, consider MRI. |
Generate impression based on findings. | Female 53 years old left knee pain and swelling, evaluate for arthritis. Bone mineralization is normal. Alignment is anatomic. There is mild joint space narrowing. There are small medial compartment and extensor compartment osteophytes. No acute fracture or malalignment. | Mild osteoarthritis. |
Generate impression based on findings. | 33-year-old male with history of hematuria and back pain. History of liver mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is an approximately 8 x 7.5 x 8.2 cm heterogeneously attenuating mass in the right posterior hepatic lobe (4/35). This mass has peripheral, nodular, discontinu... | 1.No significant renal abnormality to explain the patient's symptoms.2.Large right posterior hepatic hemangioma, and other findings as above. |
Generate impression based on findings. | Reason: 76 M s/p right hemicolectomy for cecal volvulus on 4/3; now with tachycardia to 120s-130s, r/o PE History: tachycardia PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus. No specific evidence of right heart strain.LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules are unchange... | 1.No acute pulmonary embolus.2.Additional findings as above.3.See separately dictated CT abdomen and pelvis performed on the same day.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | alcoholic cirrhosis of liver, possible intracranial process No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarka... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | altered mental status No evidence of acute ischemic or hemorrhagic lesion.Patchy low attenuation on the left frontal periventricular white matter and subcortical white matter indicate age indeterminate ischemic lesion which do not show any significant interval change since prior exam.Minimal non specific small vessel d... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. Age indeterminate ischemic lesion on the left frontal lobe and minimal non specific small vessel disease do not show any significant interval change since prior exam. |
Generate impression based on findings. | fall, weakness, malaise and fatigue No evidence of acute ischemic or hemorrhagic lesion.Diffuse mild brain atrophy which is age appropriate.Minimal non specific small vessel ischemic disease, no change since prior exam.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, m... | No evidence of acute ischemic or hemorrhagic lesion.No change of mild diffuse brain atrophy and minimal non specific small vessel ischemic disease since prior exam. |
Generate impression based on findings. | generalized weakness, unstable gait. No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The mastoid air ce... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | head trauma with severe headache No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous st... | No evidence of acute ischemic or hemorrhagic lesion.No evidence of skull fracture. |
Generate impression based on findings. | 82-year-old male with history of elevated LFTs, abdominal pain, and vomiting. ABDOMEN:LUNG BASES: Moderate atelectasis, scarring, and subpleural reticulation which is compatible with chronic interstitial disease.LIVER, BILIARY TRACT: There are no suspicious hepatic lesions. There is cholelithiasis with pericholecystic ... | 1. Findings compatible with acute cholecystitis.2. Chronic interstitial pulmonary disease is better evaluated with chest CT. |
Generate impression based on findings. | Knee pain, occasional left knee swelling with prolonged standing. Rule-out DJD. Four views of the left knee are provided. Moderate osteoarthritis affects the knee, particularly the patellofemoral joint. There is also a 2cm focus of subchondral sclerosis in the medial femoral condyle that I suspect represents avascular ... | Osteoarthritis and avascular necrosis as described above. |
Generate impression based on findings. | Hip pain. Rule-out DJD. Mild osteoarthritis affects the hip. A 2-cm triangle-shaped density overlies the femoral head that I suspect simply represents dense arterial calcification. Surgical clips overlie the pelvis. | Osteoarthritis and other findings as described above. If further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | altered mental status, post heart transplantation. No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The ... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | Status post right TKA Components of a right total knee arthroplasty device are situated in near-anatomic alignment without radiographic evidence of hardware complication. Skin staples, a drain, and foci of gas within the anterior soft tissues reflect recent surgery. | Postoperative changes of right total knee arthroplasty as above. |
Generate impression based on findings. | History of fall with pubic rami fracture. There is a nondisplaced fracture through the right inferior pubic ramus. Mild angular deformity of the body/superior ramus of the right pubic bone also likely represents a nondisplaced fracture, and there is an equivocal nondisplaced fracture through the body of the left pubic ... | Nondisplaced pubic fractures as described above. |
Generate impression based on findings. | Pain. History of sickle cell. Evaluate for compression fracture. Three views of the thoracic spine are provided. The bones appear slightly demineralized, but I see no compression fracture or other specific findings to account for the patient's back pain.Five views of the lumbar spine are provided. The bones appear demi... | Mild lumbar endplate concavities but otherwise no specific findings to account for the patient's pain. |
Generate impression based on findings. | Female; 62 years old. Reason: r/o dissection, aortic abnormality History: back pain, sudden Lack of oral contrast limits sensitivity for bowel pathology.CT ANGIOGRAM:No acute aortic dissection or rupture.Normal caliber of the thoracic aorta. Mild atherosclerotic calcifications of the thoracic aorta and its branch vesse... | No acute aortic dissection or other acute abnormality. |
Generate impression based on findings. | Female; 23 years old. Reason: r/o appy History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypoattenuating lesion in the posterior right hepatic lobe is too small to characterize but likely a benign cyst.SPLEEN: No significant abnormality notedPANCREAS: No sig... | Acute appendicitis as detailed above. |
Generate impression based on findings. | Female; 74 years old. Reason: evaluate for stone/hydro History: l flank pain Lack of intravenous and oral contrast limits sensitivity for solid organ and bowel pathology, respectively.ABDOMEN:LUNG BASES: Minimal bibasilar dependent subsegmental atelectasis.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No si... | No acute abdominopelvic abnormality is evident. |
Generate impression based on findings. | Female; 31 years old. Reason: evaluate mid abdominal pain; possible appendicitis History: periumbilical pain, nausea; abdominal tenderness ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormalit... | 1. No acute appendicitis.2. Physiologic changes in the pelvis. |
Generate impression based on findings. | Male; 30 years old. Reason: assess tumor relationship to mesenteric vessels History: mesenteric mass Lack of oral contrast limits sensitivity for bowel pathology.ABDOMEN:CT ANGIOGRAM:Normal caliber of the abdominal aorta. The celiac artery, SMA, bilateral renal arteries, and IMA are widely patent with normal runoffs. N... | Stable enhancing mesenteric mass, most suspicious for tumor such as carcinoid or lymphoma, though the appearance would be atypical for carcinoid with no spiculation or calcification. The ileocolic artery traverses just to the right of the mass without evidence of abutment or encasement. |
Generate impression based on findings. | Left hip status post head exchange AP view of the left hip reveals components of a bipolar hemiarthroplasty situated in near-anatomic alignment without radiographic evidence of complication. Surgical drains and foci of gas within the soft tissues reflect recent surgery.The AP view of the pelvis reveals the aforemention... | Left hip hemiarthroplasty as above. |
Generate impression based on findings. | 26 year old female with history of left lower quadrant pain, fever and diarrhea. Evaluate for diverticulitis, enteritis, atypical appendicitis. ABDOMEN:LUNG BASES: Lung bases are clear.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality note... | Equivocal wall edema in the proximal colon as above, which may represent infectious/inflammatory colitis and could explain the patient's symptoms. |
Generate impression based on findings. | Male 52 years old Reason: fx? History: hand in circular saw with pain and laceration Laceration of the tip of the middle finger but the underlying bone is intact. Laceration of the index finger but the underlying bone is intact. We see no fracture. Mild osteoarthritis affects the hand. | Soft tissue injury without fracture. |
Generate impression based on findings. | Atraumatic right shoulder pain on abduction. Moderate osteoarthritis affects the acromioclavicular joint. Mild osteoarthritis affects the glenohumeral joint. There may be an os acromiale, but this is equivocal. | Osteoarthritis. |
Generate impression based on findings. | Male, 50 years old. TIPS evaluation. Fever s/p TIPS TIPS: TIPS is patent. Peak velocity at the hepatic venous segment of the TIPS is 1.3 m/sec. Peak velocity at the mid segment of the TIPS is 1.7 m/sec. Peak velocity at the portal venous segment of the TIPS is 1.5 m/sec.PORTAL VENOUS: The portal veins are patent with p... | 1. The TIPS is patent, with relatively high velocities, lower in the hepatic venous end, similar to prior. The additional hepatic inflow and outflow vasculature is patent. 2. Splenomegaly, cirrhotic liver morphology, pleural effusions and ascites are again noted. |
Generate impression based on findings. | 23 year old female with history of pulmonary embolism, now with worsening LUL opacity either pneumonia or infarct. Worsening sob, tachycardic. Suboptimal exam due to thrombosis of the mediastinal veins and patient declined an attempt to repeat the examination. PULMONARY ARTERIES: Within the limitations noted above, the... | 1. Suboptimal examination as described above. Within these limitation, no large pulmonary emboli to the level of the lobar pulmonary arterial branches are present. 2. Left upper lung consolidation with air bronchograms which based on morphology, distribution and location is suggestive of pneumonia with a likely parapne... |
Generate impression based on findings. | 50 year-old male with history of abdominal distention and worsening LFTs. ABDOMEN:LUNG BASES: Large right pleural effusion again seen, with associated atelectasis, similar to prior.LIVER, BILIARY TRACT: Cirrhotic liver morphology with TIPS shunt identified in the expected location. Without contrast, it is impossible to... | 1.Moderate amount of ascites, having decreased from prior.2.Interval TIPS placement. 3.Large right pleural effusion. |
Generate impression based on findings. | Male 25 years old Reason: r/o fracture History: pain/swelling There is a comminuted intra-articular fracture of the distal radius. There is an approximately 1 mm step off along the articular surface. Otherwise alignment is near-anatomic. There is adjacent soft tissue swelling. | Distal radius fracture as described above. |
Generate impression based on findings. | Male 25 years old Reason: s/p distal radius reduction Evaluation of fine detail is limited by cast. Again seen is a comminuted intra-articular fracture of the distal radius in near anatomic alignment. | Distal radius fracture as described above. |
Generate impression based on findings. | DesaturationVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip not visualized and extend below the hemidiaphragm. Right upper extremity PICC and left central line unchanged. Cardiothymic silhouette at the upper limits of normal. Diffuse atelectasis bilaterally not significantly changed. B... | Diffuse atelectasis bilaterally not significantly changed. |
Generate impression based on findings. | Increasing oxygen requirementVIEW: Chest AP and abdomen AP 4/9/15 Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Patchy atelectasis in the left lower lobe. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Patchy atelectasis in the left lower lobe. |
Generate impression based on findings. | 84 years, Male. Reason: eval stool burden History: epigastric pain, constipation Greater than average stool burden, with desiccated stool seen within the rectum. Nonobstructive bowel gas pattern. Degenerative changes affect the bilateral hips. | Greater than average stool burden in a nonobstructive pattern.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 34 years old Reason: R hip pain History: R hip pain, paraplegic, hx dislocations Two views of the right hip are provided. The femoral head appears laterally subluxed/dislocated. There is mild deformity of the greater trochanter, femoral head, and acetabulum likely secondary to prior inflammatory/infectious arthr... | Femoral head subluxation/dislocation. |
Generate impression based on findings. | Female, 49 years old.Surgical Case Information | Procedure(s): Procedure(s): | WOUND CLOSURE | GASTROSTOMY TUBE PLACEMENT | Operating Room: CDOR 27 EAST | Surgeon(s) and Role: | * John F. Renz, M.D. - Primary Trigger: missing forceps. No unexpected radiopaque foreign objects are identified. IVC filter, NG tube, JP drai... | No suspicious radiopaque foreign object is identified.These findings were discussed by telephone with Dr. Renz, the attending surgeon, on 4/9/15 at 19:41 by the resident radiologist on call.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: traumatic fall with c-spine tenderness History: c-spine tendernessVIEWS: Cervical spine AP and lateral (2 views) 4/9/15 17:31 Vertebral body height and and disc spaces are maintained. No prevertebral soft tissue swelling. No fracture or malalignment. Mildly enlarged adenoids. | Normal cervical spine. |
Generate impression based on findings. | Female 34 years old Reason: R hip pain History: R hip pain r/o dislocation A single AP view of the pelvis obtained portably is provided. Alignment of the right hip is anatomical. Arthritic changes affecting the right hip appear largely degenerative at this time. There is moderate osteoarthritis affecting the left hip. ... | Reduction of the previously seen dislocation. |
Generate impression based on findings. | Female 34 years old. Reason: s/p dislocation and reduction History: above The right femoral head is situated within the acetabulum. Small foci of ossification are seen about the hip joint, similar to prior CT study. We see no fracture. Again seen is fluid within the hip joint which appears to communicate with fluid alo... | 1.Femoral head is situated within the acetabulum without evidence of acute fracture.2.Findings compatible with chronic infectious/inflammatory arthritis of the right hip with superimposed osteoarthritic changes. The amount of fluid currently within the hip joint is less when compared to prior study from 3/2014.3.Other ... |
Generate impression based on findings. | 78-year-old male with history of abdominal pain and suspected left renal carcinoma. Evaluate for obstruction. ABDOMEN:LUNG BASES: Mild bibasilar scarring, unchanged.LIVER, BILIARY TRACT: Cholelithiasis, without findings of cholecystitis.SPLEEN: No significant abnormality notedPANCREAS: 5-mm hypoattenuating pancreatic f... | 1.No small bowel obstruction or free air.2.Left superior pole renal lesion is unchanged, cannot exclude renal cell carcinoma.3.Stable pancreas hypoattenuating foci in body and tail, too small to characterize but likely benign cysts. |
Generate impression based on findings. | Reason: eval for PE History: sob chest pain anti-phospholipid known RUE clot PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus. Linear filling defects within the right middle and lower lobe segmental arteries compatible with pulmonary arterial webs from prior pulmonary embolism, similar to prior. Mai... | 1.No acute pulmonary embolus.2.Pulmonary arterial webs in the right middle and lower segmental arteries, sequela of remote pulmonary embolism, unchanged.3.Bilateral lower lobe scarring possibly related to resolved pulmonary infarctions.4.Unchanged gastrohepatic soft tissue nodularity, which may represent lymphadenopath... |
Generate impression based on findings. | 63 years, Female. Reason: 63 F s/p laparoscopic J tube placement, eval for free air and/or obstruction History: abdominal distension and discomfort Moderate to large amount of free intraperitoneal air is present. Amorphous noted throughout the colon. A percutaneous J-tube tip projects over the left hemipelvis. Nonobstr... | Moderate to large amount of free intraperitoneal air, which likely relates to recent surgery.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 93 years old Reason: evaluate for fracture History: fall, pain Two views of the left femur are provided. We see no fracture. There is bone demineralization with severe arthritic changes affecting the left hip. Arterial calcifications are noted in the soft tissues.Two views of the coccyx are provided. We see no f... | Severe osteoarthritis without evidence of fracture. If there is continued clinical concern for a fracture, a dedicated CT study can be obtained. |
Generate impression based on findings. | 16 month old male patient with respiratory distress. Question of collapse or consolidation.VIEW: Chest AP (one view) 4/10/2015 The aortic arch, cardiac apex, and stomach are on the left. The cardiothymic silhouette is normal in size. Peribronchial thickening is noted. There is right lower lobe atelectasis. | Bronchiolitis/reactive airways disease pattern with subsegmental atelectasis. |
Generate impression based on findings. | 58-year-old male history of abdominal pain, nausea, and vomiting. Evaluate for SBO. ABDOMEN:LUNG BASES: Mild bibasilar atelectasis. No suspicious nodules or masses.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | There is marked proximal colonic and small bowel dilatation with an apparent transition point at a focal segment of irregular colonic wall thickening. The bowel anastomosis appears patent. This findings are highly suspicious for an obstructing colon carcinoma or less likely a postsurgical stricture. Direct visual inspe... |
Generate impression based on findings. | Abdominal distentionVIEWS: Abdomen AP and cross table lateral 4/9/15 NG tube tip at the GE junction. Mildly dilated small bowel loops improved in the interval. Pneumatosis at the right lower quadrant has improved. No evidence of pneumoperitoneum. | Pneumatosis and bowel dilation improved from prior study. |
Generate impression based on findings. | 39 years, Female. Reason: sp RYGB, upper GI with SBFT History: nausea, vomiting Residual contrast is noted throughout the colon and rectum. Nonobstructive bowel gas pattern. Surgical suture projects over the left upper quadrant. | Nonobstructive bowel gas pattern.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 93 years, Female. Reason: r/o obstructionHistory: constipation, hx of sbo Nonobstructive bowel gas pattern. Above average stool burden is noted. Severe osteoporosis next left hip, with protrusio acetabula and deformity of the left femoral head. Degenerative changes affect the lower lumbar spine and sacroiliac joints. | Nonobstructive bowel gas pattern, greater than average stool burden.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 65-year-old male status post Dobbhoff tube placement The pelvis is not included in the field of view. Relative positive. Abdominal bowel gas without evidence of obstruction. A moderate amount of stool is noted throughout the colon. Dobbhoff tube is coiled within the stomach with the tip projecting at the level of the b... | 1. Dobbhoff tube is coiled within the stomach with the tip projecting at the level of the body of the stomach.2. Persistent bilateral pleural effusions and retrocardiac consolidation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Fall from height No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus.There is moderate mucosal thickeni... | No evidence of intracranial hemorrhage or skull fracture |
Generate impression based on findings. | Encephalocele. Respiratory distress. Situs inversus.VIEW: Chest AP (one view) 04/10/15, 0800 Endotracheal tube tip is above carina. Feeding tube tip is in right-sided stomach. Umbilical venous line tip is in right atrium which is on the left. As before, cardiac apex is right-sided.Right upper lobe atelectasis has resol... | Resolved right upper lobe atelectasis. |
Generate impression based on findings. | Female 93 years old Reason: R hip pain s/p fall History: R hip pain Two views of the right hip are provided. The bone appear demineralized. There is moderate osteoarthritis of the right hip. We see no fracture. Two views of the left hip are provided. The bones appear demineralized. There is severe osteoarthritis of the... | Severe arthritic changes as above. We see no fracture. |
Generate impression based on findings. | History of right mastectomy for invasive ductal carcinoma and DCIS in 2011. Patient received radiation therapy. No new breast complaints. History of breast cancer in paternal aunt. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: High resolution CT scan to evaluate the lesion in the lung that was seen on abdominal CT scan History: H/O CKD, kidney stones. Recent abdominal CT showed an area in the lung which appeared to be probable round atelectasis that could not be characterized LUNGS AND PLEURA: Right upper lobe smoothly marginated pul... | 1.Right upper lobe smoothly marginated 11 x 9 mm pulmonary nodule, for which PET is recommended to further evaluate this and additional findings as below.2.Postsurgical changes of right mastectomy and sentinel node biopsy. Mild to moderate lymphadenopathy associated with right axillary surgical clips.3.CT abdomen and p... |
Generate impression based on findings. | Male 51 years old. Reason: hip pain History: bilat hip pain worse with abduction The right hip joint appears normal. There are tiny foci of mineralization along the greater trochanter which appear similar to prior exam and may not be of any clinical significance. Cranial acetabular retroversion is noted. We see no frac... | 1. Degenerative changes of the pubic symphysis as described above.2. Bilateral cranial acetabular retroversion which can be associated with pincer-type femoroacetabular impingement in the correct clinical context. |
Generate impression based on findings. | 8 year old male patient with history of TEF status post multiple repairs complicated by SBO status post SBR and J-tube placement. Now with increased abdominal pain, distension and increased O2 requirement. Evaluate for SBO vs ileus, lung etiology of shortness of breath.VIEWS: Chest PA, abdomen AP, abdomen left lateral ... | Improved aeration of the right lower lung. |
Generate impression based on findings. | Male 51 years old Reason: abnormal gait History: hx down's syndrome, non-verbal, gait change Two views of the right hip are provided. There is a small focus of calcification along the greater trochanter which was present on prior study and may not be of any clinical significance. The right hip otherwise appears normal ... | Arthritic changes affecting the pubic symphysis and lower lumbar spine with other findings as described above. |
Generate impression based on findings. | Reason: fifth metatarsal tenderness after trauma History: tendernessVIEWS: Right foot AP lateral oblique (3 views) 4/9/15 19:18 Fracture through the 5th distal metatarsal with mild impaction. No extension of fracture into joint space. | Fracture through the 5th distal metatarsal. |
Generate impression based on findings. | 21 years, Male. Reason: eval for SBO History: abd pain Nonobstructive bowel gas pattern. Ileostomy in the left lower quadrant. | Nonobstructive bowel gas pattern.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 75 years, Male. Reason: progression of sbo? History: dno w new pain Multiple gas-filled loops of small bowel which appear slightly progressed when compared to recent CT abdomen, with a small amount of air distally within the colon, suggests partial small bowel obstruction. No free intraperitoneal air is identified. Sur... | Apparent slight interval progression of incomplete small bowel obstruction, likely related to patient's known neoplastic process.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Unsteady, rule out stroke No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. There is mild global parenchymal volume loss. No hydrocephalus. No extra-axial collections. Minimal ethmoid opacification. ... | No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | 77 years, Male. Reason: assess for signs of esophageal perforation History: 1056 Nonobstructive bowel gas pattern. A large amount of residual contrast related to recent CT is present in colon. Degenerative changes affect the lumbar spine. No evidence of free intraperitoneal air. | Nonobstructive bowel gas pattern. No evidence of free intra-peritoneal air. Please note, plain radiograph is suboptimal for evaluating esophageal perforation. |
Generate impression based on findings. | 23 year-old male. Left knee pain. Four views of the left knee show tunnels within the distal femur and proximal tibia as well as a surgical button along the distal femur compatible with ACL reconstruction. Tricompartmental osteophytes indicate moderate osteoarthritis. The right knee is unremarkable as seen on the front... | Postoperative changes of ACL reconstruction and osteoarthritis. |
Generate impression based on findings. | Left sided neck pain. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. There is multilevel degenerative cervical spondylosis. The airways are patent. The imaged i... | 1. No evidence of measurable mass lesions or significant cervical lymphadenopathy in the neck.2. Multilevel degenerative cervical spondylosis. A cervical spine MRI may be useful for further evaluation, if clinically warranted. |
Generate impression based on findings. | History of right mastectomy for encysted papillary carcinoma in 2009. No new breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Few beni... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female, 40 years old. Reason: of liver, cirrhosis, hcc screen LIVER: The liver measures 14.4 cm, with mildly coarsened echotexture, and no focal lesion. Cirrhotic liver morphology with nodularity of the liver capsule.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepati... | Cirrhotic liver morphology without focal lesion. The spleen is upper normal in size. |
Generate impression based on findings. | Reason: S/P LVAD. Hx of lung nodule, repeat CT to eval for lung nodule History: repeat CT to eval for lung nodule LUNGS AND PLEURA: Diffuse bronchial wall thickening, basilar atelectasis and scarring. Left upper lobe subpleural nodule is unchanged in size, measuring 11 x 9 mm (series 4 image 33). Interval resolution of... | 1.Unchanged left upper lobe smoothly marginated nodule. Recommend continued follow up in 1 year to document stability.2.Interval resolution of left pleural effusion with residual atelectasis/scarring.3.Multiple right rib fractures and T9 vertebral body fracture. See separately dictated CT thoracic spine. |
Generate impression based on findings. | 24-year-old male with transitional line is, sacrum decubitus ulcers and bacteremia. Abdominal pain and fever. ABDOMEN:LUNG BASES: Moderate right and small to moderate left pleural effusions with basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: N... | Bilateral pleural effusions.Sacral decubitus ulcers with bony involvement.Diffuse wall thickening involving colon.Fold thickening involving pelvic small bowel.Cannot exclude fistula at the level of the anus extending posteriorly.Retroperitoneal and pelvic adenopathy.Ascites. |
Generate impression based on findings. | 31 year old female with elevated d-dimer with chest pain, shortness of breath. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber is within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No p... | No evidence of pulmonary embolism.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | HypoxemiaVIEW: Chest AP and abdomen AP 4/10/15 ET tube tip at the level of the thoracic inlet. NG tube tip in the stomach. Gastroschisis again noted. Right upper extremity PICC with tip in the SVC. Left central line with tip at the cavoatrial junction. Cardiothymic silhouette at the upper limits of normal. Diffuse atel... | Bilateral atelectasis improved from prior study. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Benign bilateral calcifications, left more than right.No suspicious masses, microcalci... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 20 year-old female with history of C7/T2 metastatic lesions and left axillary lymphadenopathy. Evaluate for primary tumor. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. Mediastinal lymphadenopathy with reference para-aortic... | 1. Extensive lymphadenopathy is highly concerning for lymphoma. 2. Compression fractures of C7 and T2 are better evaluated on recent MRI. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, a total of 7 images, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in distribution. Stable bilateral benign masses with calcifications progressi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 49 year old male with history of rectal malignancy one year ago, low anterior resection on 6/23/2014, status post ileostomy takedown on 3/23/2015 now with postprandial nausea and rectal fullness. CHEST:LUNGS AND PLEURA: Right lower lobe medial calcified pulmonary micronodule is unchanged.MEDIASTINUM AND HILA: No signif... | 1.Postoperative findings from low anterior resection and ileostomy takedown, with a small soft tissue density in the right lower pelvis that may be postsurgical in nature and can be followed on subsequent imaging.2.No bowel obstruction.3.Nonspecific right anterior third rib sclerotic focus is new from prior, and may be... |
Generate impression based on findings. | Female 55 years old; Reason: DHT placement History: see above Enteric tube terminates in the distal gastric body. The bowel gas pattern is not obstructive. | 1.Enteric tube terminates in the region of the distal gastric body |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Male 43 years old; Reason: metal in abdomen? needs MRI and hx of GSW to abdomen History: hx of GSW to abdomen; need for MRI Postsurgical changes in the left upper abdomen a surgical staple margin. Moderate amout if desiccated stool is noted in the ascending colon. The bowel gas pattern is nonobstructive. There is mild ... | 1.Nonobstructive bowel gas pattern2.no radiopaque foreign body. |
Generate impression based on findings. | acute ischemic infarction 3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal ICAs, MCAs and ACAs. Vertebrobasilar system appears to be normal.There is no evidence of intracranial arterial aneurysm.There is no evidence of intr... | Normal brain MRA. |
Generate impression based on findings. | Female 54 years old. Reason: eval for fx History: pain after MVA Five views of the cervical spine are provided. We see no fracture or malalignment. There are small anterior osteophytes. Apparent narrowing of the neural foramina on the right is favored to be an artifact of suboptimal patient positioning.Note is made of ... | No fracture evident with other findings as described above. If there is strong clinical concern for fracture, then a dedicated CT of the cervical spine can be obtained. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. There are slightly prominent bilateral lymph nodes with benign morphology. No suspicious m... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Reason: ? fracture History: fall onto elbow and now c painVIEWS: Right elbow AP lateral oblique (3 views) 4/10/15 0:34 No fracture or dislocation. No joint effusion. | Normal examination. |
Generate impression based on findings. | follow-up for high probability benign masses in the left upper outer quadrant. History of cyst in right breast. No new breast complaints. Three standard views of the right breast and additional MLO were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglan... | Stable benign masses bilaterally and right septated cyst. If the patient's physical examination is unchanged, bilateral diagnostic mammogram in 12 months is recommended. Results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: ? fracture History: shoulder painVIEWS: Right shoulder internal rotation external rotation (2 views) 4/9/15 23:27 No fracture or malalignment. | Normal examination. |
Generate impression based on findings. | Female 53 years old Reason: follow up exam, compare w/ prior History: as above Again seen is a subcentimeter ossicle adjacent to the tip of the fibula compatible with a minimally displaced avulsion fracture fragment. The fragment abuts/overlies the distal fibular tip, but we cannot tell with certainty if it has undergo... | Findings consistent with small avulsion fracture fragment along the distal fibula as described above. It is difficult to assess healing on the basis of this study. If further imaging evaluation is warranted, CT may be considered. |
Generate impression based on findings. | 67 year old female with blood in the stool and prior incomplete visualization of the cecum on colonoscopy. The scout film showed a nonspecific bowel gas pattern without any evidence of obstruction or ileus. Right upper quadrant surgical clips in place.Barium flowed freely from the rectum to the cecum. There is no evide... | No focal mass lesions are identified within the colon, as clinically questioned. |
Generate impression based on findings. | Female 43 years old Reason: fx f/u History: pain Again seen is a comminuted fracture of the distal radius with fracture fragments in near anatomic alignment. Portions of the fracture remain visible although overall the fracture is less visible with callus indicating some healing. There is also a fracture through the ul... | Healing distal radius fracture and other findings as described above. |
Generate impression based on findings. | Female; 63 years old. Reason: s/p j-tube placement, now with apparent free air on XR, please assess for j-tube placement History: distension ABDOMEN:LUNG BASES: Mild bibasilar dependent subsegmental atelectasis.LIVER, BILIARY TRACT: Stable scattered subcentimeter hepatic hypodensities, which are too small to characteri... | 1. Jejunostomy tube appears to be intraluminal throughout its course, aside from a small portion of the distal tube in the left lateral hemiabdomen as detailed above.2. Large amount of pneumoperitoneum and moderate low attenuation abdominopelvic ascites, likely related to recent surgery.3. If there is ongoing clinical ... |
Generate impression based on findings. | Male; 76 years old. Reason: 76 M s/p Right hemicolectomy 4/3 for cecal volvulus; distended and continued abdominal pain; please eval for SBO History: abdominal pain ABDOMEN:LUNG BASES: Mild bibasilar dependent subsegmental atelectasis and trace pleural effusions, similar to prior study.LIVER, BILIARY TRACT: No signific... | Interval postsurgical changes of right hemicolectomy. Diffuse dilation of small bowel with transition point at the ileocolic anastomosis, concerning for mechanical obstruction though ileus could have a similar appearance. Large amount of stool and air noted throughout the colon. No pneumatosis, portal venous gas, or fr... |
Generate impression based on findings. | 51 years, Female, Reason: 51y/o female with breast ca; Left breast SNBx Friday 4/10/15 in CDOR at 12noon History: breast ca.RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.49 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of increased activity... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | Four year old male with abdominal pain and HSP, rule out intussusception or perforation.VIEW: Abdomen AP (one view) 4/10/2015 6:31 No pneumoperitoneum. Disorganized bowel gas but nonobstructive bowel gas pattern. Small to moderate feces in the rectum and distal transverse colon. | Disorganized bowel gas but nonobstructive bowel gas pattern. |
Generate impression based on findings. | 37-year-old male with history of pain and questionable free air on chest radiograph. Evaluate for distended bowel or SBO. ABDOMEN:LUNG BASES: Moderate bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLA... | Significant dilatation of the small bowel and proximal colon with relative collapse of the remaining bowel distal to the midtransverse colon which is highly suspicious for a mechanical obstruction in the area of the mid transverse colon. Abnormal location of the cecum raises the question of possible cecal volvulus. |
Generate impression based on findings. | Decreased vision, headache, evaluate for cerebral edema noted at outside hospital. There is extensive hypoattenuation involving the bilateral parieto-occipital lobes as well as the right frontal and right posterior temporal lobes. There is associated local mass-effect including sulcal effacement. No midline shift or un... | 1. Hypoattenuation in involving the bilateral parieto-occipital lobes as well as the right frontal and right posterior temporal lobes. Differential is broad, however distribution of the findings favors PRES. Suggest MRI or follow up CT for further evaluation including component of infarct. There is local mass effect in... |
Generate impression based on findings. | Female 59 years old Reason: spinal stenosis lumbar region Severe degenerative joint disease at L4-L5, progressed compared to prior MRI lumbar spine. Relatively mild degenerative disk disease affects the L3-L4 and L5-S1 levels. Moderate facet joint osteoarthritis affects the lower lumbar spine. Grade 1 (approximately 3 ... | Degenerative arthritic changes of the lumbar spine as described above. |
Generate impression based on findings. | Female 75 years old Reason: fx, acute/subacute pathology History: 2 weeks back pain s/p fall, h/o scoliosis Three views of the thoracic spine are provided. Again seen is a posterior stabilization device affixing the thoracolumbar spine via laminar hooks. The hardware appears similar to prior study without evidence of a... | Orthopedic fixation and scoliosis with other findings as described above. We see no fracture. |
Generate impression based on findings. | Reason: h/o met lung ca, eval response to dabrafinib, compare to previous, measurements plsn History: none CHEST:LUNGS AND PLEURA: Reticular interstitial opacity in the right lower lobe area compatible with edema and possibly lymphangitic spread of tumor, decreased from previous.Right lower lobe nodule which may includ... | Increase in size of a right lower lobe nodule, but stable or decreased disease elsewhere. |
Generate impression based on findings. | Female, 58 years old. Reason: R/O HCC History: HCV, cirrhosis LIVER: The liver measures 16.6 cm, with diffusely increased hepatic echogenicity, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The comm... | 1.Diffusely increased hepatic echogenicity, without focal lesion.2.Stable left renal cyst. |
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